Eligibility Specialist 1 (Bilingual)

About the role

Enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. Partner with healthcare organizations to problem solve and deliver revenue cycle improvement services.

Responsibilities

• Serve as a patient advocate, meeting with patients in-person, including bedside, to assess eligibility for financial assistance programs.
• Guide patients through complex application processes for programs such as Medicaid, Medicare, Disability, and hospital charity care, ensuring timely submission of accurate documentation.
• Collaborate across teams, acting as a liaison between patients, hospital staff, and government agencies to secure coverage and resolve eligibility issues.
• Manage a high case load effectively, prioritizing tasks, following up on pending applications, and meeting deadlines while also adhering to productivity and quality expectations.
• Communicate with clarity and empathy, explaining financial responsibilities and assistance options in ways that patients can understand.
• Maintain accurate and confidential records, ensuring compliance with HIPAA and organizational policies.
• Use multiple systems and tools to document, track, and report on patient information.
• Support operational needs, including providing limited staffing coverage at nearby hospital locations as needed.
• Complete special projects, as assigned.

Requirements

• High school diploma or GED
• Proficiency in English and Spanish
• 1+ years of experience in a customer-facing role (financial counseling, healthcare, social services, or similar environments preferred)
• Basic knowledge of state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability
• Strong organizational skills with the ability to handle multiple priorities and maintain accuracy and attention to detail
• Ability to explain complex information clearly and empathetically
• Comfort working in fast-paced environments with changing priorities
• Genuine care for patients’ needs and concerns
• Reliable transportation and a valid driver’s license
• Occasional local travel may be required based on operational needs

Qualifications

• Basic computer skills
• Knowledge of healthcare terminology and processes
• Experience with Microsoft Office Suite

Skills

• Excellent communication and interpersonal skills
• Strong problem-solving and analytical skills
• Ability to prioritize and manage multiple tasks simultaneously
• Attention to detail and accuracy
• Flexibility and adaptability to changing schedules and locations

Benefits

• Comprehensive benefits: medical, dental, vision, HSA and FSA accounts, short-term and long-term disability insurance, accident insurance, hospital indemnity insurance, critical illness insurance, life insurance, supplemental insurance, spouse and dependent life insurance, pet insurance, and legal insurance
• Wealth benefits: 401(k) with company match, company HSA contributions, and access to certified financial planners
• Generous paid time off: 17 days PTO for full-time colleagues with increases based on tenure, 9 paid holidays and 40 hours of paid volunteer time each year through our Heart & Soul program
• Learning & career development: premium LinkedIn Learning access and our SOAR development program
• Wellness benefits: free Calm Premium subscription for meditation, stress relief, and sleep support as well as access to our Colleague Assistance Program (EAP) that provides access to licensed professional counselors and work/life resources
• Employee discounts: Perk Spot, discounted cell-phone plans through Previ, and home/auto insurance discounts

Pay

The salary range for this role is from $21.00 to $24.00.

Schedule

Full time, 40 hours per week, hourly position. Flexibility required, with shifts available between Sunday through Thursday to meet business needs.